| Doctor Name: | DR. GARY A WEEKES |
| NPI Number: | 1447573688 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 4301404095 |
| Business Practice Address: | 570 Clinton St Detroit, MI - 482262334 |
| Business Phone Number: | 3132240656 |
| Business Fax Number: | 3132240768 |
| Mailing Address: | 4959 Cherry Blossom Cir, WEST BLOOMFIELD |
| State: | MI |
| Postal Code: | 483241297 |
| Phone Number: | 2486821777 |
| Fax Number: | |
| NPI Enumeration Date: | 03/02/2010 |
| NPI Last Update Date: | 03/02/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261Q00000X |
| License Number: | 4301404095 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |